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Tri 6 - Phys Dx (Tom) > General Inspection > Flashcards

General Inspection Flashcards

1
Q

Build, physique, and general shape of the human body.

A

body habitus

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2
Q

Metabolic syndrome if have three or more of these 5 traits (or medicating to control them)

A
  • Large waist circumference (35+ for W and 40 + for M)
  • High triglyceride level (> 150)
  • Reduced HDL cholesterol (<40 in M, <50 in W)
  • Increased blood pressure (> 130/85)
  • Elevated fasting blood sugar (>100)
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3
Q

Flat, less than 1cm =

A

Macule

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4
Q

Flat, greater than 1 cm as seen in freckles or measles

A

Patch

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5
Q

Solid raised lesion Less than 1 cm

A

Papule

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6
Q

solid, larger than 1 cm such as lichen planus, warts, or scabies

A

plaque

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7
Q

1-2cm solid lesion with distinct edges

A

nodule

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8
Q

nodule greater 2cm such as a lipoma

A

tumor

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9
Q

Raised lesions less than 1 cm and filled with clear fluid.

A

vesicle

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10
Q

Herpes Zoster and Chickenpox are examples of

A

vesicles

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11
Q

Circumscribed fluid-filled lesions that is greater than 1 cm

A

Bullae

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12
Q

blister is an example of a

A

Bullae

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13
Q

Circumscribed elevated lesions with pus such as acne

A

Pustule

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14
Q

Edema like in Insect bite or Allergic reactions

A

Wheal

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15
Q

Permanent dilatation of superficial blood vessels in skin like seen in CREST syndrome

A

Telangiectasia

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16
Q

Flakes or plates of desquamated layers of stratum corneum like seborrheic dermatitis

A

Scales

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17
Q

Drying of plasma/exudate on skin like a Scab or Abrasion eczema

A

Crust

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18
Q

Open areas of skin where all of the epidermis has been lost.

A

Erosions

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19
Q

Varecella after rupture is an example of what?

A

Erosion

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20
Q

Thickening of epidermis: seen with exaggeration of normal skin lines due to chronic rubbing or scratching

A

Lichenification

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21
Q

Chronic Dermatitis can result in

A

Lichenification

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22
Q

Traumatized skin which extends into epidermis such as Abrasions or Scratches

A

Excoriations

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23
Q

Linear cleavage of skin which extends into the dermis such as Athlete’s foot and Cracks in corners of mouth

A

Fissures

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24
Q

Permanent fibrotic changes following damage to the dermis.

A

SCARS

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25
Q

Exaggerated connective tissue response of injured skin that extend beyond the edges of the original wound

A

KELOID

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26
Q

Dark spots over buccal mucosa, skin folds, stretch marks seen in

A

Addison’s Disease

27
Q

Purple Striae seen in

A

Cushing’s Disease

28
Q

A sex hormone precursor that takes over Estrogen production after menopause

A

DHEA

Dehydroepianadrosterone

29
Q

Used for Proteins & Fat metabolism enhancement of the Immune system and insulin sensitivity

A

DHEA

Dehydroepianadrosterone

30
Q

“ANTI - AGING HORMONE”

A

DHEA

Dehydroepianadrosterone

31
Q

Initial response to stress.

A

Arousal (‘Fight or fight’)
Rapid: ↑ catecholamines
Slower: ↑ corticosteroids

32
Q

Continued release of corticosteroids which allows system to continue it’s adaptation to stress long after initial alarm is turned off.

A

Adaptation (Resistance)

33
Q

Adaptation (Resistance) results in

A

altered glucose tolerance, increased blood pressure, thyroid hormone & sex hormone metabolism altered

34
Q

‘Burned out adrenals’

A

Exhaustion

35
Q

‘Stress’ hormones (cortisol) produced at expense of sex hormones (testosterone, estrogen) may result in

A

adrenal exhaustion

36
Q

Loss of pigmentation resulting in irregular white patches

A

Vitiligo

37
Q

Destruction of melanocytes in 1-2% of pop usually between 10 - 30 years. usually before 40

A

Vitiligo

38
Q

Café-au-lait spots are seen in what two conditions?

A

McCune -Albright

Syndrome and Neurofibromatosis

39
Q

Fibrous Dysplasia, Skin spots with “Coast of Maine” Irregular borders and Precocious puberty

A

McCune -Albright

Syndrome

40
Q

Derm lesions with “Coast of California” regular borders and Systemic Nodules

A

Neurofibromatosis

VonReckinghausens Disease

41
Q

Rhythmic oscillations

Fine 6+/second

A

Tremors

42
Q

Usually in hands, head and voice (Increases with intention)

A

Essential Involuntary Movements

43
Q

Repetitive, brief, jerky, large-scale, dancelike, uncontrolled movements.

A

Choreiform

44
Q

Slow, writhing, snake like motions

A

Athetosis

45
Q

Spoon Shaped concave nails seen in Plummer-Vinson Syndrome, IDA, and Hemochromatosis

A

Koilonychia

46
Q

Convexity Nails seen in Lung CA, Hypertrophic Pulmonary

osetoearthropathy, Cardiac Failure and Hepatic Cirrhosis

A

Clubbing

47
Q

Clubbing creates ________ sign

A

Scharmroth’s

48
Q

Lindsay’s (Half & Half) nails are specific for

A

Renal failure

49
Q

Transverse white band parallel to lunula

A

Mee’s lines

50
Q

Mee’s lines result from

A

Arsenic intoxication

51
Q

White banding with lunula covered by white band up 1-2mm of distal border

A

Terry Nails

52
Q

Transverse depression across nail plate (can be from severe zinc def)

A

Beau’s lines

53
Q

Separation of distal nail from psoriasis, trauma or thyroid disorders

A

Oncholysis

54
Q

Pitting commonly from

A

Psoriasis

55
Q

Infection of cuticle often after trauma

A

Paronychia

56
Q

done to avoid, minimize pain in the back, hip, or lower limb

A

Antalgic

57
Q

Broad Base stance, Watches the ground and Slaps feet down

A

Ataxic Sensory: (Tabetic)

58
Q

Leg extended with foot movement from pelvic tilting and Arm adducted

A

Hemiplegic: (Circumduction

59
Q

parkinson gait

A

propulsion (festination)

60
Q

throws foot forward from hip, & slaps it down.

A

Steppage

61
Q

Poliomyelitis gait

A

Steppage

62
Q

Cerebellar Ataxia from Multiple Sclerosis and alcoholic intoxication

A

Staggering (Reeling)

63
Q

Multiple Sclerosis gait

A

scissors (spastic)

64
Q

Weak pelvic muscles causes

A

Waddling

Tri 6 - Phys Dx (Tom) (18 decks)

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